| Therelease Llc | |
|
18 Hubbard Run Dr Glastonbury CT 06033-2323 | |
| (860) 704-9705 | |
| Not Available |
| Full Name | Therelease Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 18 Hubbard Run Dr, Glastonbury, Connecticut |
| Authorized Official Name and Position | Lindsay Brathwaite (OWNER) |
| Authorized Official Contact | 8607049705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therelease Llc 49 Putnam Blvd # 1015 Glastonbury CT 06033-1079 Ph: (860) 704-9705 | Therelease Llc 18 Hubbard Run Dr Glastonbury CT 06033-2323 Ph: (860) 704-9705 |
| NPI Number | 1225707946 |
|---|---|
| Provider Enumeration Date | 09/07/2021 |
| Last Update Date | 09/07/2021 |
| Certification Date | 09/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225707946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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